Whatlaboratory tests should the medical provider order for Sarah onmethotrexate?

Thereshould be routine rheumatoid blood tests, which are meant to monitorSarah’s body systems, and which would let the practitioner know ifat all there is a problem that is arising due to methotrexate. Apatient under methotrexate has a risk of contracting pancytopenia, adisorder of the blood that manifests through a shortfall of all thetypes of the blood cells, and which is likely to cause fatigue,weakness, heart failure as well as sepsis. Additionally, there is apossibility of occurrence of liver diseases with long-termmethotrexate use. Therefore, blood tests should be carried out tomonitor the blood levels of the liver enzymes, which includetransaminase and serum albumin (WebMD, 2016).

Whatshould Sarah avoid while taking this medication? And why?

Sarahshould avoid changing or beginning dosage of any medicine withoutprior discussion with her doctor, especially in the case ofantibiotics as well as anti-inflammatory agents. Antibiotics thatcontain sulfonamides trimethoprim, just like methotrexate, antagonizefolate. Therefore, taking such antibiotics while on methotrexatecould result in increased toxicity (WebMD, 2016).

Whatare some side effects of Humira? What are other things that Sarahcould do to help alleviate these side effects?

Someof the common side effects of Humira include rash, headache, nausea,urinary tract infection, sinusitis, abdominal pain, back pain, highcholesterol and also high blood pressure (WebMD, 2016). While some ofthe side effects are mild and might fade away with time hence nomedical attention needed, some like sinusitis abdominal pain and highblood pressure are severe and need immediate medical care. The bestthing for Sarah to do is to consult her doctor immediately sheexperiences any of the side effects (WebMD, 2016).

Whyis Sarah taking Synthroid (levothyroxine) dose pack? What laboratorytests might you expect the provider to order while taking thismedication?

Sarahis on Synthroid dose pack since she is also suffering fromHashimoto`s thyroiditis, which is an autoimmune disease where celland antibody immune processes attack the thyroid gland, leading toprimary hypothyroidism. This is a man-made thyroid hormone that ismeant to replace a hormone usually made by the thyroid glands (WebMD,2016).

Thepractitioner should take additional thyroid-stimulating hormone (TSH)tests to diagnose hypothyroidism. Furthermore, the doctor should alsocheck Sarah’s level of FT4, which helps in monitoring the level ofthyroxine in the body (WebMD, 2016).

Howwill you instruct Sarah to take the Medrol (methylprednisolone) dosepack? What are some side effects that she should expect while takingthis medication?

Sarahshould take the medication by mouth with either food or milk, andfollow the dosing instructions to the letter. Some of the sideeffects that may result from using Medrol dose pack include nausea,headache, heartburn, vomiting, dizziness, increased sweating, acne,appetite changes and also trouble sleeping (WebMD, 2016).


WebMD(2016). Drugs and medications. Retrieved July 12, 2016, from